Tan Dominic Ti Ming, Phan Yih Chyn, Leung Edmund
College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
County Hospital Hereford, Hereford, United Kingdom.
BMJ Case Rep. 2019 Jan 14;12(1):bcr-2018-227622. doi: 10.1136/bcr-2018-227622.
A 29-year-old man presented to the Accident and Emergency department with abdominal cramping following ingestion of a 50 p coin 2½ weeks prior to presentation. He had not observed it pass in his stools. An abdominal radiograph confirmed the presence of the 50 p coin in his stomach. Subsequently, he had an oesophagogastroduodenoscopy (OGD) performed with a failure to visualise the coin. 1½ weeks later, he returned to the department as he was still unable to observe its passing in his stools. A repeated abdominal radiograph and a CT of the abdomen and pelvis revealed that the coin was still in his stomach. A second OGD was performed once again with a failure to visualise the coin. It appeared that the coin had migrated into his gastric mucosa.
一名29岁男性在摄入一枚50便士硬币2.5周后因腹部绞痛前往急诊部就诊。他未观察到硬币随粪便排出。腹部X光片证实硬币在其胃内。随后,他接受了食管胃十二指肠镜检查(OGD),但未能看到硬币。1.5周后,他再次回到该科室,因为他仍未观察到硬币随粪便排出。再次进行的腹部X光片以及腹部和盆腔CT显示硬币仍在他的胃里。再次进行了第二次OGD,还是未能看到硬币。看起来硬币已迁移到他的胃黏膜中。